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NORTHRIDGE FAMILY PRACTICE LLC
NPI 1669453189
Family Medicine in Circleville, OH

Active since November 10, 2005CLIA 36D0328232 · Microscopy
610 NORTHRIDGE RD, CIRCLEVILLE, OH 43113(740) 474-3159(740) 474-2110 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northridge Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHRIDGE FAMILY PRACTICE LLC (NPI 1669453189) is a healthcare organization registered as a family medicine in Circleville, Ohio and active in the NPI registry since November 2005. The organization holds a CLIA Microscopy certificate valid through September 3, 2027 and lists Deborah Lea Lewis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669453189
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHRIDGE FAMILY PRACTICE LLC
Location Address610 NORTHRIDGE RDCircleville, OH 43113
Mailing Address610 Northridge Rd, Po Box 578Circleville, OH 43113 · (740) 474-3159 · Fax (740) 474-2110
Phone(740) 474-3159
Fax(740) 474-2110
Organization SubpartNo
Authorized OfficialDeborah Lea LewisOffice Manager · (740) 474-3159
Enumeration DateNovember 10, 2005
Last NPPES UpdateDecember 11, 2019
✔ NPI 1669453189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35042158B✔ Licensed in OH · 35071002J✔ Licensed in OH · 350463858✔ Licensed in OH · 35053974M
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
610 NORTHRIDGE RD, Circleville, OH 43113
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Other Identifiers 1

Medicaid2211430OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0328232

Northridge Family Practice LLC · Circleville, OH
Active · expires Sep 3, 2027
CLIA Number36D0328232
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorJohn G. Bohlen MD
Laboratory Phone(740) 474-3159
Laboratory LocationNorthridge Family Practice LLC610 Northridge Road, Circleville, OH 43113
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VERNON GLICK BOLENDER MD
Family Medicine
610 NORTHRIDGE RD
CIRCLEVILLE, OH 43113
Pickaway County (740) 474-3159
MR. JOHN GREGORY BOHLEN MD
Family Medicine
610 NORTHRIDGE RD
CIRCLEVILLE, OH 43113
Pickaway County (740) 474-3159
DR. ROBERT STEPHEN DREW D.D.S.
Dentist (General Practice)
610 NORTHRIDGE RD
CIRCLEVILLE, OH 43113
Pickaway County (740) 474-6535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northridge Family Practice LLC's NPI number?

The NPI number for Northridge Family Practice LLC is 1669453189. It was assigned to this organization in the NPPES registry on November 10, 2005.

Where is Northridge Family Practice LLC located?

Northridge Family Practice LLC is located at 610 Northridge Rd, Circleville, OH 43113. The listed phone number is (740) 474-3159.

What is Northridge Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Northridge Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0328232) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northridge Family Practice LLC was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.